Individual provider Active NPI

Tracey Ellen Kelley, APRN

  • Family Nurse Practitioner
  • Hamburg, AR
National Provider Identifier
1033597802
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A004390 Issued in AR
Practice address
319 W Parker St
Hamburg, AR 71646-3121
Phone
(870) 853-8271
NPI assigned
May 13, 2015
Last updated
Aug 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A004390 AR Primary

Addresses

Primary practice location

319 W Parker St
Hamburg, AR 71646-3121

Mailing address

PO Box 232
Hamburg, AR 71646-0232
Phone (870) 853-8271

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tracey.longstreth@chfdacmc.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150616001301 AR Practitioner - Nurse Practitioner 5991016081 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crossett Health Foundation CurrentSince May 19, 2015 Accepting new patients
Hamburg Health Clinic LLP CurrentSince Aug 17, 2025 Accepting new patients
Crossett Health Foundation CurrentSince May 19, 2015 Accepting new patients
Crossett Health Foundation PastSince Dec 9, 2025 Accepting new patients
Crossett Health Foundation Past Accepting new patients

Locations

1015 Unity Rd
Crossett, AR 71635
Phone (870) 364-0590

1015 Unity Rd
#400
Crossett, AR 71635
Phone (870) 364-1272

351 W Parker St
Hamburg, AR 71646
Phone (870) 853-8271

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GICHCD

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1033597802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 232",
            "city": "HAMBURG",
            "state": "AR",
            "postal_code": "716460232",
            "telephone_number": "870-853-8271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 W PARKER ST",
            "city": "HAMBURG",
            "state": "AR",
            "postal_code": "716463121",
            "telephone_number": "870-853-8271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "TRACEY",
        "middle_name": "ELLEN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-13",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tracey.longstreth@chfdacmc.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "319 W Parker St",
            "city": "Hamburg",
            "state": "AR",
            "country_code": "US",
            "postal_code": "716463121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hamburg, AR

Sources for this page

Verify at the official NPI Registry.